Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
OHS Compliance
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PPE worn as required
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Infection Control measures adhered to (when applicable)
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Sign in /out records correctly recorded
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RAT tests daily undertaken and acknowledged by MAACG
ENTRY / FOYER & RECEPTION
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Is this section relevant for this inspection?
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• Rubbish containers emptied and bin liners replaced
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• Floors swept, mopped and disinfected
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• Carpeted areas vacuumed
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• Carpet stains spot cleaned (as required)
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• Reception counter wiped and cleaned
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• Glass spot cleaned
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• Hand rails and fixtures wiped
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• Walls and doors spot cleaned
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• Ledges wiped
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• Picture frames and glass dusted
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• Furniture dusted
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• Blinds and curtains dusted
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• Glass doors spot cleaned
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• Skirting boards dusted
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• Cobwebs removed
CORRIDORS
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Is this section relevant for this inspection?
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• Carpeted areas vacuumed
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• Carpet stains spot cleaned (as required)
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• Walls and doors spot cleaned
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• Skirting boards dusted
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• Cobwebs removed
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• Glass doors spot cleaned
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• Basins cleaned and disinfected
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• Rubbish containers emptied and bin liners replaced
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• Hand soap, gloves, hand towel, disinfectant replenished
OFFICE / ADMINISTRATION AREAS
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Is this section relevant for this inspection?
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• Rubbish containers emptied and bin liners replaced0
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• Carpeted areas vacuumed
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• Carpet stains spot cleaned (as required)
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• Desks, furniture & electrical equipment dusted and wiped
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• Telephones wiped and disinfected
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• Glass spot cleaned
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• Walls and doors spot cleaned
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• Picture frames and glass dusted
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• Ledges wiped
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• Blinds and curtains dusted
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• Skirting boards dusted
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• Cobwebs removed
LOUNGE ROOM & DINING ROOM AREAS
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Is this section relevant for this inspection?
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• Rubbish containers emptied and bin liners replaced
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• Hard floors swept, mopped & disinfected
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• Carpeted areas vacuumed
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• Carpet stains spot cleaned
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• Tables and chairs wiped
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• Glass spot cleaned
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• Walls and doors spot cleaned
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• Ledges wiped
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• Picture frames and glass dusted
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• Furniture dusted
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• Blinds & curtains dusted
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• Skirting boards dusted
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• Cobwebs removed
NURSES STATIONS
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Is this section relevant for this inspection?
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• Rubbish containers emptied and bin liners replaced
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• Carpeted areas vacuumed
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• Carpet stains spot cleaned (as required)
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• Counter / Desks wiped and cleaned
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• Glass spot cleaned
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• Walls and doors spot cleaned
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• Ledges wiped
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• Picture frames and glass dusted
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• Blinds and curtains dusted
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• Skirting boards dusted
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• Cobwebs removed
COMMUNAL BATHROOMS / STAFF TOILETS / VISTORS TOILET
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Is this section relevant for this inspection?
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• Rubbish containers emptied and bin liners replaced
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• Floors swept mopped and disinfected
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• Showers & baths cleaned and disinfected
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• Toilet bowls and urinals cleaned and disinfected
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• Basins cleaned and disinfected
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• Walls and partitions spot cleaned
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• Door handles and frames wiped
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• Mirrors & glass spot cleaned
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• Hand dryers dusted and wiped
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• Hand soap replenished
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• Toilet paper replenished
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• Ledges wiped
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• Skirting boards dusted
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• Cobwebs removed
KITCHENETTE
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Is this section relevant for this inspection?
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• Floors swept, mopped and disinfected
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• Rubbish containers emptied and bin liners replaced
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• Bench tops and sinks wiped and disinfected
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• Hand towel & Soap replenished
LAUNDRY
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Is this section relevant for this inspection?
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• Floors swept, mopped and disinfected
UTILITY ROOM
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Is this section relevant for this inspection?
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• Rubbish containers emptied and bin liners replaced
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• Floors swept mopped and disinfected
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• Bench tops and sinks wiped and disinfected
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• Taps and tap ware wiped and disinfected
TREATMENT ROOM
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Is this section relevant for this inspection?
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• Rubbish containers emptied and bin liners replaced
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• Floors swept mopped and disinfected
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• Bench tops and sinks wiped and disinfected
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• Taps and tap ware wiped and disinfected
STAFF ROOM
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Is this section relevant for this inspection?
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• Rubbish containers emptied and bin liners replaced
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• Floors swept mopped and disinfected
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• Bench tops and sinks wiped and disinfected
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• Taps and tap ware wiped and disinfected
HAIR SALON
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Is this section relevant for this inspection?
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• Floors swept, mopped and disinfected
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• Walls spot cleaned
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• Horizontal surfaces dusted
RESIDENT BEDROOM
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Is this section relevant for this inspection?
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Rubbish containers emptied & bin liners replaced
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Carpeted areas spot vacuumed
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Doors and walls spot cleaned
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Mirrors & glass spot cleaned
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Furniture dusted including chairs & heater
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Bedside lockers, including drawer fronts, over bed tables wiped
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Under carriage of bed vacuumed & dusted and wiped
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Hand rails wiped
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Ledges wiped
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Window sills wiped
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Televisions dusted
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Picture frames and glass dusted
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Blinds and curtains dusted
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High dusting of light fittings & fixtures, over doors in room & bathroom
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Skirting boards dusted
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Cobwebs removed
RESIDENT ENSUITE
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Is this section relevant for this inspection?0
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Toilet bowls, urinals, cisterns & toilet pipes wiped cleaned & disinfected
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Doors and walls spot cleaned
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Mirrors & glass spot cleaned
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Hand rails wiped
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Walls and partitions cleaned
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Ledges wiped
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Skirting boards dusted
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Cobwebs removed
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Showers & baths cleaned and disinfected
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Shower & wall tiles scrubbed clean where necessary
CLEANERS ROOM
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Is this section relevant for this inspection?
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• Floors swept, mopped and disinfected
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• Walls and doors spot cleaned
Signature
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Client signature
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Auditor's signature